Blog

A client who experienced head trauma yesterday is maintaining an intracranial pressure reading of 21. Select all medications that are appropriate in the management of patients with acute brain trauma. (Select all that apply)

Which statement by a teen who is being discharged from the emergency room with a concussion indicates a need for further teaching?

A 62 year old client is brought to the clinic by a family member who is concerned about the client’s inability to solve common problems. To obtain information about the client’s current mental status, which question should the nurse ask the client?

The nurse is preparing to teach a client on transient ischemic attack (TIA).  Which statement indicates that further teaching is required.

The nurse understands that when the spinal cord is injured, ischemia and edema result. Which rationale is most accurate for the nurse to understand related to the fact that the extent of injury cannot be determined for several days to a week?

The doctor ordered  that a client’s IV infusion be increased from 100 ml/hr to 125 ml/hr; 600 ml has already infused from the 1000 ml bag.  How many hours will it take for the remainder to infuse?   Express in hours and minutes. 

The nurse is caring for a patient with increased ICP. Which symptoms are related to Cushing’s Triad and signal impending herniation and death? (Select all that apply)

The nurse is educating the spinal cord injury patient about intermittent cathing at home due to neurogenic bladder. Which topics should the nurse be sure to include in their teaching? (Select all that apply)

You are the nurse on a medical surgical floor. During morning rounds, you check your 20 year old client admitted overnight with increased seizure activity. Upon entering the room, you note the client is having uncontrolled muscle movements in all extremeties and does not respond when you call her name. What action would the nurse take first?

The nurse is providing discharge instructions to a client being discharged on warfarin therapy. What information is important for the nurse to include?  (Select all that apply.)